Individual provider Active NPI

Darshana Kneebone

  • Psychologist
  • San Diego, CA
National Provider Identifier
1811588189
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1912362567 Issued in CA
Practice address
9888 Carroll Centre Rd Ste 218
San Diego, CA 92126-4515
Phone
(858) 935-9104
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NPF95016325 CA
Psychologist 103T00000X 1912362567 CA Primary

Addresses

Primary practice location

9888 Carroll Centre Rd Ste 218
San Diego, CA 92126-4515

Mailing address

2228 Penrose St
San Diego, CA 92110-2351
Phone (619) 865-0214

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPIC Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226002447 CA Practitioner - Nurse Practitioner 7012437619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

4283 El Cajon Blvd
Suite 115
San Diego, CA 92105-1289
Phone (619) 521-1743

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1912362567CAMDPsychologist
NPF95016325CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Mental Health Systems, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Alliance for Wellness, Inc. Psychiatric/Mental Health CurrentSince Jan 14, 2025 Accepting new patients
Sanjoy Sathpathy, M.D. Inc, CurrentSince Jan 31, 2021 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

4283 El Cajon Blvd
Ste 115
San Diego, CA 92105
Phone (619) 521-1743

9888 Carroll Centre Rd
Ste 218
San Diego, CA 92126
Phone (858) 750-9990

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1811588189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 PENROSE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102351",
            "telephone_number": "619-865-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 CARROLL CENTRE RD STE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264515",
            "telephone_number": "858-935-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEEBONE",
        "first_name": "DARSHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NPF95016325",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "1912362567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "Electronic Medial Health System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9888 Carroll Centre Rd Ste 218",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921264515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.